Iindlela eziPhambili eziPhakamileyo zokuPhathwa kweNtlungu
Zininzi iindlela ezikhoyo zokuhlalutya nokuchaza umlenze womlomo wesibeleko, okanye intamo, intlungu inxalenye yeso sizathu sokunyangwa kwentlungu. Ulwahlulo oluhlukeneyo kwiimpawu kunye neempawu, utshintsho lwe-anatomical kwiindawo ezithile zemigca yesisu (nokuba ingaba zivela kwiingubo kunye neengcambu, iinjenge, okanye i-trauma), kwaye ukuba i-spinal nerves yakho ithintekile.
Akunjalo nje kuphela, kodwa iilebula zentlobo ethile yentlungu yintamo ingaba yintlangano yamabini amabini okanye ngaphezulu "okusemthethweni".
Kodwa kwiminyaka emva nje, indlela abaphandi abaye bahlula ngayo intlungu yentamo sele iqalile ukutshintsha. Ngaphambili, indawo kunye nexesha leempawu kunye neyiphi ifilimu evezwe malunga nomzimba wamanzi omgogodla imele ezimbalwa zezona zinto zibalulekileyo kunye neenkcukacha eziqhelekileyo ezifunekayo ukuba ugqirha ukuba ufumane ulwaphulo lweentlungu zesisu. Ngoku, umongo ubhekiselele kumzekelo ojoliswe kunyango, ngokukodwa xa kufikelele ekunakekelweni kokunyanzeliswa, okungenanto yokunyangwa.
Abacebisi bakholelwa ukuba yindlela echanekileyo yokuxilonga nokunyanga iintlungu ezingezizo kunye nentsebenzo.
Izigulane zonyango
Imodeli yonyango, ngokuchasene nomzekelo "wezilwanyana," isekelwe kwiinjongo zonyango nendlela ezi zifezekiswe ngayo. Ngamanye amagama, nganye isiseko-ukuhamba komonakalo, ukulawula ubuhlungu, ukuzivocavoca kunye nesimo somzimba, intloko yesifo, okanye i-radiating intlungu-umzekelo unikeza iindlela zokwelapha kunye / okanye iinkqubo ezinokuthi zisebenze ngenjongo yokubuyisela intamo yakho kwi-functional ubuhlungu belizwe.
Udidi ngalunye lwenyango luye lwaphulwa kwakhona zibe ngamacandelo amancinci: i-acute, sub-acute, kunye nezigaba ezingapheliyo. Olu luhlu lweenkcukacha lu luncedo, njengoko ixesha ukusuka ekuqaleni kweengxaki okanye iimpawu zenza indima ebalulekileyo ekuqaliseni iintlobo kunye nobukhulu bonyango obungasebenza ngokusemgangathweni.
Unokufumana ukuba ukuxilongwa kwakho kuwela kwicandelo elongezelelweyo lonyango.
Ngokomzekelo, iintlobo, i- sprains , kunye ne-whiplash ngokuyinhloko zifakwe phantsi kolawulo lwentlungu, kodwa ngo-Chad Cook, umphathiswa wezonyango kunye ne-PhD, inokufunyanwa kwindlela yokusebenza kunye nesimo seemeko.
Ngonyaka ka-2008, ukuhlengahlengiswa kwenkqubo yokwenziwa kwonyango kwakufakwe njengenxalenye ye-APTA ye-Orthopedic Guidelines. Ezi zikhokelo ngoku zihlula intlungu yentamo ezintweni ezine ezikhankanywe ngasentla. Bashiya umsebenzi kunye nesigaba sokumisa imeko, kodwa abanye bezaziyo bayongeze kwakhona, mhlawumbi ngenxa yokuba ukuzivocavoca ngenye yezindlela eziphambili zokunciphisa intlungu enxulumene neemeko eziqhelekileyo zomlomo wesibeleko.
Ngandlela-thile, iingcali ziyaqhubeka nokuphuhlisa kwaye zicebisa ukuba kufakwe iintlobo zonyango olutsha.
Ukuhlola
Ngaphambi kokuba uhlalutyo olusekelwe kunyango lunokusetyenziswa, ugqirha wakho uya kukukhumbuza isifo esibangeleyo okanye isifo sokugulisa umthambo, okubizwa ngokuba ngamaflegi ebomvu . Kwiimeko ezininzi, ezi ntlobo zeengxaki zibangelwa iimpawu. Ukuba ugqirha wakho ufumana into ebonisa impilo enzulu kakhulu, mhlawumbi uya kubhekisela kwingcali okanye ukuvavanya.
Unako ukukhenkcela izinto ezinokwakheka kwengqondo, ezibizwa ngokuba ngamaflegi ephuzi. Ezi zihambelana neendima ozidlalayo kwimimandla eyahlukeneyo yobomi bakho, kunye neemeko zakho zezimali kunye nezizathu kunye nesimo sakho sengqondo malunga nezinto.
Olu hlobo lokuhlola lumncedisa ukuba anqume ukuba uyilungele kakuhle unyango ngexesha langoku.
Xa usususile le miqobo, ungathunyelwa kwipilisi yomzimba. Ukuba kunjalo, ngoku yisikhathi sokufumanisa iqela lonyango owela kuyo.
Ukwelashwa kweNeck Pain Inability
Abo bahlala kwinqanaba elonyango lokukhubazeka banamava entlungu entloko, okanye intlungu yentamo ehlangothini olunye kuphela. Ukuba kukho into ekuchazayo, unokufumanisa ukuba intamo yakho iyancipha malunga nokuba ingahamba kangakanani, kodwa ukuba xa uyishukumisela, oku kubangela iimpawu zakho. Enye impawu yokukhubazeka kokuhamba kwindawo yentamo ibhekiswe intlungu okanye intlungu yesandla.
Imbali yonyango kunye nokuhlolwa komzimba okwenziwa ngugqirha wakho kumnceda ukuba akhethe, phakathi kwezinye izinto, ukuba kufuneka uhanjiswe kwingcali.
Ugqirha wakho uya kukhangela izinto ezibizwa ngokuba yingxaki yeengqondo, apho abaninzi abakwiintlungu ezingapheliyo zikholelwa ukuba benza ulwahlulo ngokubhekiselele kwinkqubela phambili yonyango kwaye ingaba ungayi kudala imeko emide. Ukuba ufumanisa izinto zengqondo kwi-kliniki yakho, unokukubhekisela kwiyeza elifutshane elibizwa ngokuba yi-cognitive treatmental treatment. Olu unyango lunokukunceda ufunde indlela yokugcina intlungu nokukhubazeka ngendlela efanelekileyo.
Kwi sigaba sokukhubazeka, ukugxininiswa kukunyusa intamo yakho. Unyango lwaloo nto lungaquka izandla kwi-intsebenziswano okanye ukuxhaphaza kwentamo yakho kunye nomva ongasentla, uqeqesho lwentamo ukwenzela ukwandisa uluhlu lokunyakaza kunye zombini kunye nokulawulwa kwenkqubo. Kuyakuthi unokukhuthazwa ukuba uhlanganyele kwimisebenzi yempilo jikelele kwaye uhlale usebenza kwimpilo yakho yemihla ngemihla.
Njengoko unyango lwenu luqhubeka, ulungelelwano kunye nokuqeqesha uqeqesho luya kufakwa kwiiprogram zakho zoqeqesho.
Xa usudlulile isigaba esincinci, izilwanyana ezinjenge-needling dryer, i-laser low level , ultrasound, traction, TENS, kunye ne-muscle e-stim ingafakwa.
Ukulawula Ubunzima, Ukulungiswa, kunye neWhiplash
Abalobi bahluke ngendlela abayichaza ngayo kwaye bachaze eli candelo kodwa ngokukodwa kwenzeka emva kwexinzelelo, i- whiplash , kunye / okanye i-sprain okanye uhlobo lwezakhiwo entanyeni. Ngokuqhelekileyo, izicubu zakho ziya kucatshukiswa kakhulu kulolu hlobo, kwaye kwimeko yoxinzelelo okanye u-sprain, intlungu idla kakhulu.
Iimpawu zingabandakanya iintlungu ezibhekiselele kwiphepha kunye / okanye ingalo, iimpawu ezixubushayo, ukuxakeka okanye ukuxhamla, ukukhathazeka, ukudideka okanye imemori iingxaki, ukuxinzezeleka, ukuxhomekeka kwizinto ezingaphandle kwezandi, izandi, ukushisa, ukuthinteka, ukukhanya kunye nokunye, kwaye ekugqibeleni yakho imisipha yentamo.
Emva kokuba uthethe ugqirha wakho kwiimpawu, unokwenza ntoni kwaye awukwazi ukwenza ngokwenyama, kunye nolwazi nakwezinye iimeko zempilo, uya kugqiba izinto eziphambili zonyango. Ukwenza oku ngokuchonga nokuqwalasela iipateni zokuhamba kunye nentlungu, phakathi kwezinye izinto.
Ngokufanayo nakwezinye iindidi zonyango, inqanaba leentlungu liya kutshintsha njengoko unyango luqhubeka. Oku kuthetha ukuba ukuhlaziywa rhoqo kwakhona kuya kukunceda uhlale ulandelelwano lwakho nokuphilisa.
Unyango lwentlungu ngokubanzi luqulethwe ngamanyathelo omzimba, ukusetyenziswa kwamandla, kunye nokukhuthaza unyango.
UkuPhathwa koLawulo lwePilisi
Ngexesha lesiganeko, ugqirha wakho okanye umphathiswa wezilwanyana angakucebisa ukuba uhlale usebenza kwaye uphinde uqhubeke nemisebenzi yakho eqhelekileyo kwaye uya kukunika inkqubo yohambo lwekhaya. Ukwandisa intamo yakho ukuguquguquka kunye nokunyaniseka kuya kuba yinjongo ephambili ngeli xesha. Ukugqoka ikollar ngamanye amaxesha kunikwe umgaqo kweli nqanaba lokuqala.
Njengoko isigaba esichukumisayo, ngexesha lesigaba esincinci, umgqirha wakho uya kukukhuthaza ukuba uhlale usebenza. Iprogram yakho yovavanyo lwasekhaya mhlawumbi iya kujolisa intamo yokuguquguquka, kunye namandla. Enye isigaba esicacileyo solawulo lweentlungu zolawulo lweentlungu ziquka ukunyamezela ukunyamezela komzimba, ukuphuhlisa ukulungelelaniswa kwakho, ukuphucula ukunyameka, nokuzinzisa.
Unyango lwe-Manual kunye / okanye ukuhlanganiswa yile nenye inokuthi unyango olu Iqhwa, ukushisa , kunye neprogram ephantsi kwenkqubo yokusetyenziswa kweekliniki nazo ziqhelekileyo.
Xa ixesha elaneleyo lidlule, uya kuba kwisigaba esingapheliyo. Kule nkalo, ulawulo lweentlungu lujoliswe ngundoqo.
Ibhola inkundleni yakho ngexesha lesigqirha, kwaye ukuhlala uthathe inxaxheba ekuphiliseni kwakho kuyisithako esisisiseko sempumelelo. Ngokubhekiselele kwiinjongo ezikhankanywe ngasentla, ugqirha wakho unokukubonisa ngokuzivocavoca okunzima kunye / okanye kwimingeni, kunye nokuqeqeshwa kokunyakaza okusebenzayo.
Kwaye inxalenye ebalulekileyo yolawulo lwentlungu eqhubekayo yindlela ophendula ngayo kubangele. Njengoko kuchaziwe ngasentla, unyango lwezengqondo zengqondo elifutshane luza kunceda abantu abaninzi bafaka ubuhlungu babo obungapheliyo kwaye bazinike izixhobo zokuyilawula ngempumelelo kwimini yemihla.
Unyango lweNtloko
Ukuba inkathazo yakho yentamo ibangela intloko, unokufumanisa ukuba izicubu zakho ezithambileyo zivuthiwe-enye indlela yokuthetha ukuba izicubu zakho azikwazi ukujamelana nokunyamezeleka ngokomzimba. Ukucaphuka okunjalo kunokunxulumene nendlela unyango lwakho oluqhubela phambili ngayo, kunye / okanye ubuninzi bokuvuvukala bukhona kwiishucu zakho.
Iinkalo ezithile zokuphila kwakho kunye nomoya wengqondo zingadlala indima apha, nayo. Ezi zibandakanya, kodwa azikhawulelwanga, ubuninzi bokukhubazeka ozivelayo kunye nokuba ubuthongo bakho buphazamiseke kwaye ukuba kunjalo, kwinqanaba elingakanani. Isixa samachiza othabathayo kunye nesantya apho uthatha inxaxheba kwimisebenzi yobomi nazo ziphambili.
Ngokuqhelekileyo, unyango lujoliswe ekuhlaleni nasekusebenziseni okuqinisekileyo. Njengoko ukuxhatshazwa kwemisipha kubonakala kuyinto entle entanyeni yentlungu kunye neentloko, ukuxilwa kunye nokwelula kunokucetyiswa kwakhona.
Kwisigaba esingasigxina, ukubuyiswa kwamanzi okuphezulu kungeniswa, njengokuba kunokusetyenziswa okunye okujoliswe entanyeni, ngasentla nasemagxeni. Ukuzivocavoca kwesi sigaba kuya kugxininisa ekuqiniseni, ukunyamezela, ukulawula, ukulungelelanisa kunye nokuzimela.
Amanqaku amaninzi (iCentral)
Icandelo lokugqibela kwisimo esisekelwe kunyango lubuhlungu obukhulu. Ezinye iingcali zibhekisela kuloluhlu njengeziko.
Intlungu ebuhlungu kakhulu ngenxa yokunyanzeliswa okanye ukucaphuka komngcambu wamagulane . Ngokuqhelekileyo ngenxa yecandelo le-herniated disc, kodwa ezinye izizathu zikhona.
Iimpawu zibandakanya iintlungu zentamo kunye nengalo, kwaye mhlawumbi iimpawu zesigulane ezityhila ingalo. Imizekelo izikhonkwane kunye neenaliti zoluvo lweentlobo, ukuphazamiseka, kunye / okanye ubuthathaka obunxulumene nokusasazwa kwemizwa ephuma kumgcini weenthambo zomgulane onomsindo okanye ocinezelekileyo.
Unyango, kulo mzekelo, ufuna "ukugxininisa" intlungu, oku kuthetha ukuhambisa iimpawu ukusuka emaphethelweni emva, okanye ubuncinci obusondeleyo, ukuya emthonjeni. Umzekelo unokubandakanya ukuguqula umqolo wakho ukukhupha iimpawu zomlenze ezihambelana nediski ye-herniated.
Njengokuba kunjalo nenqanaba leentloko, isantya apho izicubu zakho zikwazi ukujamelana nokunyamezeleka kwengqondo inxalenye enkulu inquma imisebenzi yakho yonyango. Ngamanye amazwi, unyango luya kuphucula ngokunyamezela. Kwakhona nje ngeentloko, indlela ethile yokuphila kunye nemeko yengqondo inokudlala indima ekuphumeni kwakho.
Kwisigaba esibucayi sobuhlungu obukhulu, ungayifumana inkqubo yoqheliselo eyenzelwe ukunciphisa iimpawu, ukwandisa ukuguquguquka kwakho nokuhamba, ukuzinzisa intloko yakho, nokuqinisa umzimba wakho ngokubanzi. Ezinye iindlela zonyango zingabandakanya i-laser yezinga eliphantsi kwaye igqoke i-collar ixesha elifutshane.
Kwisigaba esingasigxina, unyango lunokubandakanywa ngokulula kunye nokuqiniswa, kunye neyonyango yonyango entanyeni yakho kunye / okanye ngasentla. Ukutsalana okuqhelekileyo yinye inokwenzeka unyango.
ILizwi
Ngokuqhelekileyo, intlungu yentamo ayikho isizathu sokubuyela kwindawo yakho yokulala. Ukuhlala usebenza kwaye wenze imiqathango emiselweyo kuya kuhamba ixesha elide ekuncedeni uzive ungcono kwaye uhamba phambili.
Ukusuka kwiinkqubo zoqeqesho kwiimpawu zonyango kunye nokunye, ukuhlanganiswa kwezonyango kunokuvelisa iziphumo ezilungileyo. Yaye malunga nesidingo sokulungelelanisa intlungu kunye nokunyanzelwa kweminyango, unokucinga ngonyango wokuziphatha. Abantu abaninzi babika ukuba ukusebenzisa le ndlela kufundisa indlela yokujongana ngempumelelo nemeko yabo ngaphandle kwemfuneko yokuhlawulela uxanduva lokuphila kunye namava.
> Imithombo:
> Chien., J., et. al. Iyintoni intlungu yokubuyisela umva kunye nendlela engcono yokuyiphatha ngayo? Intloko yesifo se-Curr Ingqungquthela kaDisemba 2008.
> Cook, CPT, PhD. Ubungqina obuSebenzayo obuSebenzayo beCervical Spine. Imfundo yaseMedbridge.
> Davies, CI, et. al. I-centralization phenomenon: Inxaxheba yalo ekuhloleni nasekulawuleni iintlungu ezisezantsi ze-BC Medical Journal. Septemba 2004.
> Intlungu yeentambo: Izikhokelo zeeNkcazo zokuSebenza ngokuHlaziya i- 2017 IJOSPT i-Orthopedic Section. Julayi 2017.